What Just Happened — And Why It Matters to Agents In late August 2025, a federal court in Maryland issued a nationwide stay on several provisions of CMS’s “Marketplace Integrity & Affordability” Final Rule — just days before they were set to go into effect. This pause affects key mandates on income verification, enrollee fees,...
A Landmark Healthcare Law with Big Changes Ahead In late 2024, Congress passed the One Big Beautiful Bill Act (OBBBA) — sweeping legislation that touches nearly every corner of the U.S. healthcare system. While much of the news coverage focused on its economic or political implications, the law has major consequences for Medicaid and ACA...
A Growing Pain Point in Medicare Advantage Medicare Advantage (MA) has grown to serve more than 31 million beneficiaries nationwide. Yet as enrollment grows, so do complaints. One of the biggest issues in 2025 is the rising trend of post-acute care denials — situations where seniors are discharged from hospitals but denied or delayed coverage...
A New Era for Medicaid Eligibility For decades, Medicaid has been the safety net program providing healthcare coverage to low-income Americans. In 2025, however, new work requirements and stricter eligibility redetermination rules are reshaping how beneficiaries access and keep their coverage. As an insurance agent or broker, understanding these shifts isn’t optional — it’s essential....
The 2025 Shake-Up in Medicare Advantage The Medicare Advantage (MA) marketplace is heading into 2025 with turbulence unlike any year in recent memory. Carriers both large and regional are scaling back their participation, with thousands of seniors receiving plan exit notices. For insurance agents and brokers, this moment is more than just a disruption —...